Springwater Chiropractic INC

NPI #1790950228 in Fairview, Oregon

Provider Information

NPI Number
1790950228
Entity Type
Organization
Organization Name
Springwater Chiropractic INC
Primary Specialty
Chiropractor
Enumeration Date
Apr 25, 2008
Last Updated
Apr 25, 2008

Practice Location

Address
1659 NE MARKET DRIVE
State
Oregon
ZIP Code
97024-3867
Phone
(503) 465-9100

Authorized Official

Name
DR. STEVEN JOHN PROM, DC
Title
PRESIDENT OWNER
Phone
(503) 465-9100

Specialties & Taxonomy Codes

Specialty
Chiropractor

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